Lafayette Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LAFAYETTE TOWNSHIP

Practice address

6776 Wedgewood Rd
Medina, OH 44256-8822

Phone

(330) 722-4965

Fax

(330) 722-3059

NPI assigned

May 3, 2007

Last updated

Aug 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeff Hall

Title

Chief

Phone

(330) 722-4965

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1427270917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 WEDGEWOOD RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568822",
            "telephone_number": "330-722-4965",
            "fax_number": "330-722-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 WEDGEWOOD RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568822",
            "telephone_number": "330-722-4965",
            "fax_number": "330-722-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "330-722-4965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247129",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Kupetz, PA-C
• Sandy Theresa Kurka, LPC
• Jayne Kurkul
• Brittany Dawn Kurz
• Jessica Kus, MOT, OTR/L
• Caitlyn Rachel Laguardia, M.S. CF-SLP
• Mary Laguardia
• Kristina Lalley
• Han Lam, MD
• Lamplight Counseling Services LLC

• Land Ambulance in Medina, OH
• Providers in Medina, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.